Provider Demographics
NPI:1104065853
Name:ARETE PSYCHOLOGY CONSULTING
Entity type:Organization
Organization Name:ARETE PSYCHOLOGY CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHIRBAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:978-337-6095
Mailing Address - Street 1:1150 MAIN ST STE 6B
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-3058
Mailing Address - Country:US
Mailing Address - Phone:978-337-6095
Mailing Address - Fax:
Practice Address - Street 1:1150 MAIN ST STE 6B
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-3058
Practice Address - Country:US
Practice Address - Phone:978-337-6095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6775103TC2200X, 103TE1100X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & SportsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MABCBS W05356OtherBLUE CROSS